The current approach to homelessness does not adequately address the needs of the 10–20% of homeless families who have complex support needs. This reduces the chance of them making a sustained exit from homelessness and exacerbates their existing needs. There is a strong consensus among professionals in health, homelessness, and family services that a multidisciplinary team (MDT) approach would deliver better outcomes. This report draws from the experiences of homeless families, reviews international and Irish experience of establishing such teams, and presents a consensus on the disciplines that should be part of such teams. Taking into account the constraints and challenges facing all public services at this time, it proposes a practical model for Focus Ireland, in partnership with Government agencies and other NGOs, to pilot a MDT to support homeless families with complex needs.